Physician
Mccaul, James
Mccaul, James was paid $1.20M by Medicaid between Jan 2018 and Jul 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMCCAUL, JAMES
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1326197997assigned 01/10/2007
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.20M
24GClaims11,270
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Missouri
Rank by total paid#4 of 36
Median peer was paid$89K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,383 | $524K | |
| 2019 | 4,278 | $480K | |
| 2020 | 1,609 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,975 | 1,902 | $288K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 18% | 1,818 | 1,036 | $217K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 18% | 1,868 | 1,650 | $217K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 14% | 1,319 | 1,224 | $165K |
| 59025 | Fetal non-stress test | 7.1% | 797 | 415 | $85K |
| 76813 | 5.7% | 375 | 350 | $69K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 4.4% | 591 | 445 | $52K |
| 80306 | 3.3% | 463 | 346 | $40K | |
| 76801 | 2.1% | 226 | 213 | $25K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.2% | 95 | 84 | $14K |
| 76820 | <1% | 96 | 43 | $11K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 231 | 219 | $7K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.